The current practice of anesthesia is characterized by advanced age and increased co-morbidity in high-risk patients for an ever-growing spectrum of surgical interventions. Thus, clinical anesthesia practice has become much broader and more complex than just the provision of intraoperative anesthesia, now encompassing perioperative medicine. Anesthesia techniques have developed with preoperative admission screening, modern anesthetic agents and regional anesthesia procedures, postoperative pain and fast-track recovery management. These, and advances in perioperative monitoring, all contribute towards improving care of the high-risk patient.
This text is aimed primarily at trainees in Anesthesia, although more experienced practitioners may find it useful as a refresher in recent concepts and advances. A basic knowledge of physiology, pharmacology and anesthesia is assumed.
Book Features
1. Risk and risk assessment
2. Lessons from anesthetic audits and epidemiological studies
3. Assessmentof cardiovascular risk
4. Perioperative use of cardiac medications in the high-risk patient
5. Pharmaco-physiological approaches to the high-risk surgical patient
6. Respiratory risk and complications
7. Analgesia for the high-risk patient
8. Regional anesthesia for the high-risk patient
9. Anemia, coagulopathy and blood transfusion
10. The obese or malnourished patient
11. Smoking, alcohol and recreationaldrug abuse
12. Identification of the deteriorating patient in the perioperative period
13. Perioperative renal insufficiency and failure
14. The critically ill patient undergoing surgery
15. The elderly patient
16. The patient with cardiac disease undergoing noncardiac surgery
17. Vascular surgery
18. Gastrointestinal surgery
Index
This text is aimed primarily at trainees in Anesthesia, although more experienced practitioners may find it useful as a refresher in recent concepts and advances. A basic knowledge of physiology, pharmacology and anesthesia is assumed.
Book Features
- May be a useful “aide memoire” for postgraduate examinations in anesthesia.
- Exclusively discusses adult anesthesia. Pediatric and neonatal anesthesia is outside the scope of this text.
- Aims to provide practical information on the management of high-risk patients presenting for surgery, as well as sufficient background information to enable understanding of the principles and rationale behind their anesthetic and perioperative management. It will prove useful, but we would emphasize that this, or any other book, is no substitute for experienced supervision, support and training.
- Is not a substitute for the major anesthetic texts, but concentrates on principles of management of the most challenging anesthetic cases.
- Aims to provide guidance to help manage these patients in the perioperative period in line with modern concepts of critical care, and the potential role of the anesthetist as perioperative physician.
- Emphasizes cardiovascular risk, cardiac disease and cardiac management, as these are undoubtedly the most important aspects of perioperative anesthetic risk.
- The choice of topics is selective, but should appeal and be useful to the majority of practitioners. Important information not readily available in similar texts is also included.
- The format is designed to provide easy access to information presented in a concise manner. We have tried to eliminate all superfluous material. Selected important or controversial references are presented as well as suggestions for further reading. The style of the chapters varies. This is deliberate. Some relate more to basic principles, physiology, pharmacology, etc. – bookwork. Others are more practical in nature, discussing the principles of anesthetic techniques for certain high-risk situations.
- The authors are all experienced practitioners working with a high proportion of sick, elderly patients presenting for both elective and emergency surgery. The authors are committed to providing a high level of perioperative care of patients undergoing anesthesia. We make no apologies for repetition of important principles and facts – a second perspective on a subject is often useful.
- The editor has enlisted contributors active in both practice and training from institutions on both sides of the Atlantic. The aim has therefore been to produce a text of international relevance.
1. Risk and risk assessment
2. Lessons from anesthetic audits and epidemiological studies
3. Assessmentof cardiovascular risk
4. Perioperative use of cardiac medications in the high-risk patient
5. Pharmaco-physiological approaches to the high-risk surgical patient
6. Respiratory risk and complications
7. Analgesia for the high-risk patient
8. Regional anesthesia for the high-risk patient
9. Anemia, coagulopathy and blood transfusion
10. The obese or malnourished patient
11. Smoking, alcohol and recreationaldrug abuse
12. Identification of the deteriorating patient in the perioperative period
13. Perioperative renal insufficiency and failure
14. The critically ill patient undergoing surgery
15. The elderly patient
16. The patient with cardiac disease undergoing noncardiac surgery
17. Vascular surgery
18. Gastrointestinal surgery
Index
Product Details
- Paperback: 318 pages
- Publisher: Cambridge University Press; 2nd edition (May 11, 2009)
- Language: English
- ISBN-10: 0521710189
- ISBN-13: 978-0521710183
- Product Dimensions: 9.1 x 6.1 x 0.6 inches